| NPI | 1821466491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON REDWOOD BOOLE President 850-889-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME96773) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: FL ME96773) |
| 207YS0012X Otolaryngology, Sleep Medicine (Licence: FL ME96773) | |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2019-04-13 |